ABOG Urogynecology and Reconstructive Pelvic Surgery Practice Questions - ABOG Urogynecology and Reconstructive Pelvic Surgery Subspecialty Certifying Examination Exam - ABOG Urogynecology and Reconstructive Pelvic Surgery Practice Questions - ABOG Urogynecology and Reconstructive Pelvic Surgery Subspecialty Certifying Examination Exam

Question 1

A 58-year-old postmenopausal woman presents with urinary leakage with coughing, laughing, and exercise. She has no urgency symptoms. Urinalysis is normal, PVR is 30 mL. What is the most likely diagnosis?

Overactive bladder with urgency urinary incontinence Stress urinary incontinence Overflow incontinence Functional incontinence

Correct Answer:

Stress urinary incontinence

Question 2

A 62-year-old woman with bothersome stress urinary incontinence has failed pelvic floor physical therapy and desires surgical treatment. Which procedure has level-1 evidence as first-line surgical treatment for SUI?

Retropubic Burch colposuspension Midurethral sling (retropubic TVT or transobturator TOT) — level-1 evidence as first-line; cure rates ~85%; SISTEr trial showed equivalence to autologous fascial sling; TOMUS compared TVT vs TOT Urethral bulking agents Autologous fascial sling

Correct Answer:

Midurethral sling (retropubic TVT or transobturator TOT) — level-1 evidence as first-line; cure rates ~85%; SISTEr trial showed equivalence to autologous fascial sling; TOMUS compared TVT vs TOT

Question 3

A 55-year-old woman has urgency urinary incontinence refractory to anticholinergics and mirabegron. Which 3rd-line therapy is FDA-approved for OAB?

Onabotulinumtoxin A 100 U intradetrusor injection via cystoscopy — 20 injections of 0.5 mL (5 U each) across bladder body, sparing trigone; duration ~6-9 months; main adverse effects UTI and urinary retention requiring CIC (~6-10%) Oral imipramine Topical testosterone Oral vasopressin

Correct Answer:

Question 4

A 70-year-old presents for evaluation with a vaginal bulge. POP-Q measurements at the leading edge are: Aa +2, Ba +4, C +5. What is the POP-Q stage of anterior compartment prolapse?

Stage 0 — no prolapse Stage I — leading edge >1 cm above hymen Stage II — leading edge within 1 cm of hymen (-1 to +1) Stage III — leading edge >1 cm below hymen but less than TVL-2

Correct Answer:

Stage III — leading edge >1 cm below hymen but less than TVL-2

Question 5

A 58-year-old has symptomatic stage III uterovaginal prolapse and desires definitive surgical treatment with preservation of sexual function. Which surgical procedure is gold standard for apical vaginal vault support?

Anterior colporrhaphy alone Abdominal sacrocolpopexy (mesh sling from vaginal vault to sacrum) — gold standard for apical POP repair with highest long-term anatomical success rates (~90%); can be performed open, laparoscopic, or robotic Colpocleisis Posterior colporrhaphy alone

Correct Answer:

Abdominal sacrocolpopexy (mesh sling from vaginal vault to sacrum) — gold standard for apical POP repair with highest long-term anatomical success rates (~90%); can be performed open, laparoscopic, or robotic

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About this Exam

Prepare with the ABOG Urogynecology and Reconstructive Pelvic Surgery Practice Questions - ABOG Urogynecology and Reconstructive Pelvic Surgery Subspecialty Certifying Examination Exam practice quiz. This question bank includes 100 questions covering year-old, vaginal, presents, management, and pelvic. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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ABOG Urogynecology and Reconstructive Pelvic Surgery Practice Questions - ABOG Urogynecology and Reconstructive Pelvic Surgery Subspecialty Certifying Examination Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, vaginal, presents, management, and pelvic. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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ABOG Urogynecology and Reconstructive Pelvic Surgery Practice Questions - ABOG Urogynecology and Reconstructive Pelvic Surgery Subspecialty Certifying Examination Exam

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